Individual
DR. JENNIFER AMANDA LIGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
411 TOWN PARK BLVD, EVANS, GA 30809-3089
(706) 854-2500
(706) 854-2559
Mailing address
P.O BOX 1758, EVANS, GA 30809-3089
(706) 854-2500
(706) 854-2559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002957
GA
208000000X
Pediatrics Physician
Primary
65563
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107751A
—
GA
05
—
003107751B
—
GA
Enumeration date
06/25/2008
Last updated
01/30/2024
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